PMID- 25371096 OWN - NLM STAT- MEDLINE DCOM- 20150706 LR - 20211021 IS - 1756-0500 (Electronic) IS - 1756-0500 (Linking) VI - 7 DP - 2014 Nov 4 TI - Successful cardiac resuscitation with extracorporeal membrane oxygenation in the setting of persistent ventricular fibrillation: a case report. PG - 782 LID - 10.1186/1756-0500-7-782 [doi] LID - 782 AB - BACKGROUND: Extracorporeal membrane oxygenation (ECMO) technology is a viable option for short-term support in the setting of acute cardiac ischemia. To supplement cardiopulmonary resuscitation (CPR) in select patients, ECMO is used successfully for witnessed in hospital cardiac arrest. In the setting of an acute myocardial infarction (MI), bridging to a revascularization procedure is important in improving overall survival. CASE PRESENTATION: We describe the first known case of a 56-year-old Caucasian male with an anterior ST elevation myocardial infarction (STEMI) who underwent percutaneous coronary intervention (PCI) in which the entire procedure was carried out with the patient being in persistent ventricular fibrillation (VF) resistant to defibrillation on ECMO support. Subsequent to revascularization, the patient's cardiac rhythm converted back to sinus rhythm with a single defibrillation shock with excellent neurologic recovery. CONCLUSION: Our case highlights the importance of early initiation of ECMO during PCI in achieving both improved cardiac and neurological outcomes during an acute coronary syndrome (ACS). FAU - Golian, Mehrdad AU - Golian M FAU - Freed, Darren AU - Freed D FAU - Jassal, Davinder S AU - Jassal DS FAU - Ravandi, Amir AU - Ravandi A AD - Section of Cardiology, Department of Internal Medicine, Faculty of Medicine, University of Manitoba, 409 Tache Avenue, Winnipeg, Manitoba R2H 2A6, Canada. aravandi@sbgh.mb.ca. LA - eng PT - Case Reports PT - Journal Article DEP - 20141104 PL - England TA - BMC Res Notes JT - BMC research notes JID - 101462768 SB - IM MH - *Cardiopulmonary Resuscitation MH - Coronary Angiography MH - Extracorporeal Membrane Oxygenation MH - Humans MH - Male MH - Middle Aged MH - Monitoring, Intraoperative MH - Percutaneous Coronary Intervention MH - Ventricular Fibrillation/*therapy PMC - PMC4236475 EDAT- 2014/11/06 06:00 MHDA- 2015/07/07 06:00 PMCR- 2014/11/04 CRDT- 2014/11/06 06:00 PHST- 2014/04/25 00:00 [received] PHST- 2014/10/14 00:00 [accepted] PHST- 2014/11/06 06:00 [entrez] PHST- 2014/11/06 06:00 [pubmed] PHST- 2015/07/07 06:00 [medline] PHST- 2014/11/04 00:00 [pmc-release] AID - 1756-0500-7-782 [pii] AID - 3315 [pii] AID - 10.1186/1756-0500-7-782 [doi] PST - epublish SO - BMC Res Notes. 2014 Nov 4;7:782. doi: 10.1186/1756-0500-7-782.